NURS 325 Fundamentals Final Exam . Complete Solution Guide. Latest 2021Question 1
The nurse is teaching a new mother about the sleep requirements of a
... [Show More] neonate.
Which comment by the patient indicates a correct understanding of the teaching?
Selected
Answer:
b.
“I will ask my mom to come after the first week, when the baby is
more alert.”
Answers: a.
“I can’t wait to get the baby home to play with the brothers and
sisters.”
b.
“I will ask my mom to come after the first week, when the baby is
more alert.”
c.
“I won’t be able to nap during the day because the baby will be
awake.”
d.
“I can get the baby on a sleeping schedule the first week while my
mom is here.”
Question 2
A nurse is a preceptor for a nurse who just graduated from nursing school. When
caring for a patient, the new graduate nurse begins to explain to the patient the
purpose of completing a physical assessment. Which statement made by the new
graduate nurse requires the preceptor to intervene?
Selected
Answer:
c.
“Nursing assessment data are used only to provide information about
the effectiveness of your medical care.”
Answers: a.
“Nurses use data from their patient’s physical assessment to
determine a patient’s educational needs.”
b.
“I will use the information from my assessment to figure out if your
antihypertensive medication is working effectively.”
c.
“Nursing assessment data are used only to provide information about
the effectiveness of your medical care.”
d.
“Information gained from physical assessment helps nurses better
understand their patients’ emotional needs.”
Question 3
The nurse is caring for a patient who has been diagnosed with a terminal illness.
The patient states, “I just don’t feel like going to work. I have no energy, and I
can’t eat or sleep.” The patient shows no interest in taking part in the care by
saying, “What’s the use?” Which response by the nurse is best?
Selected
Answer:
b.
It sounds like you have lost hope.
Answers: a.
It sounds like you have lost the ability
to sleep.
b.
It sounds like you have lost hope.
c.
It sounds like you have lost your
appetite.
d.
It sounds like you have lost energy.
Question 4
The nurse is suctioning a patient with a tracheostomy tube. Which action will the
nurse take?
Selected
Answer:
b.
Limit the length of suctioning to 10 seconds.
Answers: a.
Liberally lubricate the end of the suction catheter with a watersoluble solution.
b.
Limit the length of suctioning to 10 seconds.
c.
Set suction regulator at 150 to 200 mm Hg.
d.
Apply suction while gently rotating and inserting the catheter.
Question 5
A woman is in labor and refuses to receive any sort of anesthesia medication.
Which alternative treatment is best for this patient?
Selected
Answer:
b.
Relaxation and guided imagery
Answers: a.
Pudendal block (regional anesthesia)
b.
Relaxation and guided imagery
c.
Transcutaneous electrical nerve stimulation
(TENS)
d.
Herbal supplements with analgesic effects
Question 6
A nurse teaches a patient about atelectasis. Which statement by the patient
indicates an understanding of atelectasis?
Selected
Answer:
d.
“It is important to do breathing exercises every hour to prevent
atelectasis.”
Answers: a.
“Atelectasis affects only those with chronic conditions such as
emphysema.”
b.
“If I develop atelectasis, I will need a chest tube to drain excess
fluid.”
c.
“Hyperventilation will open up my alveoli, preventing
atelectasis.”
d.
“It is important to do breathing exercises every hour to prevent
atelectasis.”
Question 7
Which patient is most in need of a nurse’s referral to adoption services?
Selected
Answer:
a.
An infertile couple religiously opposed to artificial
insemination
Answers: a.
An infertile couple religiously opposed to artificial
insemination
b.
A woman considering abortion for an unwanted pregnancy
c.
A woman who suffered miscarriage during her first
pregnancy
d.
An infertile couple who has been attempting conception
for 3 months
Question 8
Having misplaced a stethoscope, a nurse borrows a colleague’s stethoscope. The
nurse next enters the patient’s room and identifies self, washes hands with soap,
and states the purpose of the visit. The nurse performs proper identification of the
patient before auscultating the patient’s lungs. Which critical health assessment
step should the nurse have performed?
Selected
Answer:
c.
Cleaning stethoscope with
alcohol [Show Less]